PERIOPERATIVE CARDIAC ARREST OF A YOUNG MALE DURING KYPHOSIS OPERATION: CASE REPORT
Journal Title: Journal of Turkish Spinal Surgery - Year 2018, Vol 29, Issue 1
Abstract
There are complications related to blood loss, impaired liquid-electrolyte balance, drug side effects due to anesthetic applications and overdose complications due to airway and ventilation problems, central venous intervention, iatrogenic neurological and vascular injuries, internal organ injuries, cardiac arrest due to vagal reaction or any other idiopathic causes in spinal surgery. The aim of our study is to pass on our experience about cardiopulmonary arrest development, which is a rare complication in a perioperative period, and treatment of this situation in a patient with Scheuermann’s kyphosis who is planned to operate with posterior surgery. Our patient was a male, 17 years old, 170 cm long, weighing 50 kg with a T3-T12 lateral cobb angle of 77 degrees thoracic kyphosis without waist and back pain. During the operation, hyperkalemia, which was thought to be related to hemolysis and massive blood transfusion, was noticed as a pathological finding in the blood tests. The patient intervened with the defibrillator after starting ventricular fibrillation and spontaneous breathing after 45 minutes of resuscitation. He was taken to intensive care unit immediately. He was transferred to in-room service after 9 days. Post-operative evaluation of the patient did not reveal any neurological deficits due to global ischemia secondary to cardiac arrest or because of the surgical procedure. He was discharged after 4 days and started to work after 5 months. We thought that cardiac arrest development is associated with massive transfusion and /or hyperkalemia secondary to hemolysis. The cause of hemolysis was not clearly demonstrated.
Authors and Affiliations
M. Bülent BALİOĞLU, Osman ÇİMEN, Özgür KORKMAZ, Deniz Akşahin KARATAŞ, Şenol YAZICI, M. Akif KAYGUSUZ
Keywords
Related Articles
- EP ID EP676988
- DOI -
- Views 142
- Downloads 0
BALANCE AND FUSION LEVELS İN RIGHT SIDED THORACIC ADOLESCENT IDIOPATH1C SCOLIOSIS
To evatuate interactions betvveen corrective forces applied by segmentary spinal systems and fusion levels along with coronal and sagittal balance, x ray radiographs of 126 scoliosis patients operated in SSK İstanbul Edu...
RETROSPECTIVE ANALYSIS OF THE TREATMENT OF TUBERCULOSIS SPONDYLITIS IN GROWING SPINE
Objectives: The aim of this study to evaluate the results of the tuberculosis at growing spine Material and Method: Eighteen children under 12 years old were evaluated retrospectively in our study. The mean age at...
ANALYZING THE PREOPERATIVE AND POSTOPERATIVE SPINOPELVIC PARAMETERS IN LENKE TYPE 1 ADOLESCENT IDIOPATHIC SCOLIOSIS PATIENTS.
Objective: To analyze the pre and postoperative changes of sagittal spinopelvic parameters in Lenke type 1AIS patients. Methods: Thirty Lenke 1 AIS patients evaluated retrospectively. Thoracic kyphosis, lumbar lor...
COMPARISON OF FACET DENERVATION AND FACET JOINT INJECTION FOR THE TREATMENT OF CHRONIC LOWER BACK PAIN
Purpose: The aim of our study is to compare the pain score results of patients treated with facet injection or facet denervation, to understand which technique is more effective. Materials and Methods: 28 patients...
THORACOSCOPIC ANTERIOR APPLICATIONS TO THE SPINE
Video-assisted thoracoscopic surgery (VATS) has been used by thoracic surgeons since 1991 to resect pul-manoıy lesions. As far as we know VATS has not been commonly used forspinal deformities. İn this study we de-scribe...